2014 Registration Form

2014 Morgellons Conference Registration Form

Fill out the form below to register for the 7th Annual Medical – Scientific Conference on Morgellons Disease held March 29 & 30, 2014 in Austin, TX. To learn more about the event, visit the 2014 conference page. To learn more about pricing and alternative ways to register, scroll below the form.

WHEN: March 29 and 30, 2014
WHERE: Austin, TX
Wyndham Garden Hotel & Woodward Conference Center
Address: 3401 North Interstate 35 Frontage Road, Austin,TX 78741

Early registration – Jan 20, 2014 thru Feb 9, 2014: $100.00
Regular registration – Feb 10, 2014 thru March 15, 2014: $125
*Late registration – March 16, 2014 and after : $150
*Please note that Saturday Evening Reception may not be available with late registration.
Students registration without evening reception – submitted by March 15, 2014: $35.00
(must show valid student ID at check-in)
Students registration with evening reception – submitted by March 15, 2014: $55.00

Contribute registration using PayPal : Please include note “Conference 2014 Registration” when registering through PayPal. Your PayPal receipt # is your conference confirmation. Click here to donate using PayPal: https://thecehf.org/donate/

Alternative Methods of Registration

Email:
Send your registration information to info@thecehf.org

Please put “2014 Conference Registration” in the subject line.
When using PayPal for registration contribution, please include the confirmation # in your email registration, and Name(s) of each person attending in your group.

Include completed form and check payable to:

Charles E. Holman Foundation
P.O. Box 1109
Lone Star, Texas 75668
The Charles E. Holman Foundation/New Morgellons Order is a non-profit organization with IRS 501 (c) (3) status.